Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NE › LINCOLN › STARK AND JOHNSON LLC

STARK AND JOHNSON LLC

NPI: 1013219633 · LINCOLN, NE 68504 · Pediatric Dentist · NPI assigned 12/02/2010

$12.96M
Total Medicaid Paid
461,360
Total Claims
422,940
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALL, JENNI (INSURANCE AND BILLING MANAGER)
NPI Enumeration Date12/02/2010

Related Entities

Other providers sharing the same authorized official: WALL, JENNI

ProviderCityStateTotal Paid
STARK AND JOHNSON LLC LINCOLN NE $56K
STARK AND JOHNSON LLC LINCOLN NE $43K
STARK AND JOHNSON LLC LINCOLN NE $32K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 44,908 $1.08M
2019 49,662 $1.22M
2020 45,576 $1.11M
2021 77,753 $1.89M
2022 89,135 $2.31M
2023 83,723 $2.40M
2024 70,603 $2.96M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 80,719 80,477 $2.48M
D1206 Topical application of fluoride varnish 83,448 81,950 $2.28M
D0120 Periodic oral evaluation - established patient 71,127 70,934 $1.86M
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 13,379 7,475 $1.15M
D2930 Prefabricated stainless steel crown - primary tooth 7,126 2,856 $938K
D1351 Sealant - per tooth 25,141 7,646 $726K
D0272 Bitewings - two radiographic images 43,761 43,628 $630K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 14,929 14,407 $490K
D0145 Oral evaluation for a patient under three years of age 10,860 10,832 $486K
D1999 43,634 42,260 $429K
D1110 Prophylaxis - adult 7,100 7,090 $273K
D2391 Resin-based composite - one surface, posterior, primary or permanent 3,445 2,376 $241K
D7140 Extraction, erupted tooth or exposed root 2,892 1,537 $212K
D0150 Comprehensive oral evaluation - new or established patient 5,555 5,534 $141K
D1208 Topical application of fluoride, excluding varnish 5,485 5,160 $106K
D0274 Bitewings - four radiographic images 4,596 4,594 $102K
D0330 Panoramic radiographic image 4,800 4,784 $99K
D0220 Intraoral - periapical first radiographic image 13,491 13,344 $93K
D0230 Intraoral - periapical each additional radiographic image 11,360 8,311 $64K
D0210 Intraoral - complete series of radiographic images 1,271 1,271 $64K
D0270 5,514 5,488 $55K
D9420 126 124 $13K
D1354 821 348 $11K
D2330 75 39 $4K
D0140 Limited oral evaluation - problem focused 164 164 $4K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 36 27 $4K
D9970 399 179 $2K
D0273 36 36 $993.62
D9997 37 37 $0.00
D0170 33 32 $0.00